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Pediatric Core Curriculum 2nd Ed Downloadable Content: Chapter 33, Nutrition Access
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A.S.P.E.N. Pediatric Core Curriculum 2nd Ed Downloadable Content: Chapter 33, Nutrition Access

©2015
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Chapter 33: Nutrition Access
Beth Lyman, RN, MSN, CNSC
Sohail R. Shah, MD, MSHA, FAAP

©2015

Table of Contents

Background     

Types of Tubes
             
Nasogastric Tube
             
Orogastric Tube
              Gastrostomy Tube
             
Gastrojejunostomy Tube
             
Jejunostomy Tube
             
Tube Insertion  

Verification of Placement
              
Radiology
             
Air Insufflation With Auscultation
             
Gastric Aspirate/pH Testing
             
Electromagnetic Tube Placement
             
Reverification of Placement

Nursing Care Related to Feeding Tubes 
              
Aspiration Precautions
             
Securing the Tube
             
Site Care
             
Checking Residual Volumes 
              
Flushing the Tube
            
Medication Administration
            
Feeding Pumps   

Vascular Access Devices
             
Peripheral Intravenous Catheters
             
Peripherally Inserted Central Catheters
              
Temporary VADs
             
Tunneled VADs
             
Implanted VADs

Nursing Care Related to VADs
             
Obtaining Laboratory Specimens From a VAD
              
VAD Site Care
            
 Hub Care
             
Routine Flushing
             
Safety Issues
             
Administration Set Changes

Central Line–Associated  Bloodstream  Infection    

Thrombosis   

Anticipatory Guidance

Learning Objectives

1.      Describe the indications for use and appropriate management of nutrition access devices, including enteral and venous access devices.

2.      Relate the key components of nutrition access management that caregivers need to be taught.

3.      Formulate an evidence-based plan of care for nutrition access devices to guide clinical interventions that are age-appropriate and patient-specific.


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You may also be interested in the A.S.P.E.N. Pediatric Nutrition Support Handbook, 2nd Edition.